| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.29 | $517.29 | $679.89 | |
Aetna
| Professional | $517.29 | $550.00 | $708.75 | |
Anthem BCBS
| Facility | $500.00 | $599.00 | $1,188.40 | |
Anthem BCBS
| Professional | $340.00 | $440.00 | $711.57 | |
Cigna
| Facility | $129.52 | $214.45 | $489.94 |